Jeanne
Burton
New Orleans, LA
ady41y@r.postjobfree.com
Areas of Expertise
Claims investigation
Medical reports
Fraud Identification
Claims Negotiations
Customer service
Claimant & Witness interviews
Professional Experience
02/2019-05/2022
Regional Manager / Lifesavers Cleaning Services, New Orleans, LA 70112
Created many problems solving solutions for cleaning systems and patient satisfaction.
Worked daily with quality control, quality assurance to ensure there were no issues with the sales of services to the customers and to ensure the customers wanted all the services they received.
Completed administrative work and answered multiline office phones as well as having many other responsibilities.
Negotiate contracts directly with businesses and customers.
Responsible for achieving financial performance & revenue goals
06/2018-02/2019
Medical Biller / Downman Urgent Care, New Orleans, LA
Oversaw daily Billing Department functions, including medical coding, charge entry, payment posting, and reimbursement management.
Collaborated with medical providers and office management to determine billing and documentation policies and ensure compliance.
Researched insurance policies/eligibility and educated medical staff.
Medical billing team posted and submitted claims within 24 hours of receipt.
10/2010-8/2017
Medical Biller / Medical Memorial Home, New Orleans, LA
Experienced billing for Mental Health specialties, Family Medicine, and Ophthalmology.
Reviewed and validated accuracy of charges including dates of service, services provided, location and provider signature.
Assigned ICD-10 to physicians’ diagnosis and insured the correct level of service and various other CPT code
Contacted various ordering physicians to obtain the patient’s medical records.
10/2007-9/2010
Administrative Assistant / Trahan & Davis Law Firm, New Orleans, LA
Assisted a claims processor with historically troublesome claims.
Exposed to different types of paperwork and filing systems for claims.
Typed investigation reports using data sheets from case managers.
Identified possible red flags when analyzing various sample cases.
Met with management to discuss weekly goals and strategies.
Additional Employment Experience with Excellent Customer Services 2004-2007
1.)Marriott Hotel. Hostess
2.)Court of Two Sisters Hostess
3.)The River Barge Mail Clerk
4.)Memorial Home Health Based Waiver Program/ Front Desk
5.)R&H Trust Clinic/Work Scheduler
Education
05/2017
Associates / Southern University, New Orleans, LA
09/2020
All-Lines Adjuster License (Texas & Louisiana)/ The Adjuster School, Katy, TX
12/2005
High School Diploma / Continental Academy, New Orleans, LA